Ms Diana M Glab, CRNA | |
647 Metropolitan Way Unit 312, Des Plaines, IL 60016-4636 | |
(773) 600-1972 | |
Not Available |
Full Name | Ms Diana M Glab |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 647 Metropolitan Way Unit 312, Des Plaines, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053089532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209028001 (Illinois) | Primary |
163W00000X | Registered Nurse | 041.443058 (Illinois) | Secondary |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
Entity Name | 360 Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811637366 PECOS PAC ID: 5991184863 Enrollment ID: O20230322000939 |
Mailing Address | Practice Location Address |
---|---|
Ms Diana M Glab, CRNA 625 Clayton Ln, Des Plaines, IL 60016-1029 Ph: (773) 600-1972 | Ms Diana M Glab, CRNA 647 Metropolitan Way Unit 312, Des Plaines, IL 60016-4636 Ph: (773) 600-1972 |
Jennifer Greenwood, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2750 S River Rd, Des Plaines, IL 60018 Phone: 224-612-7000 | |
Miss Deborah E Holman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2750 S River Rd, Des Plaines, IL 60018 Phone: 847-921-9733 |